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The study design consisted of analyses of the data collected from the experimental (1-hour rounds and 2-hour rounds) versus the control nursing units with a nonrandom assignment of hospital units to these respective groups (the assignment was the responsibility of chief nursing officers and nurse managers). Although the determined to conduct 1-hour or 2-hour nursing rounding was left up to the nursing executives at the participating hospitals, the principal investigator ensured that the sample was stratified as to type of unit (i.e., medical, surgical, or combined medical -- surgical), unit size, and frequency of nursing rounds.
7.
Adequacy of the Sample
The researchers identified 26 different reasons for the use of call lights by patients in their review of the literature and coded data from the 14 hospitals whose data satisfied the study criteria according to these reasons. The study examined 108,882 episodes of call light use from 27 units of these 14 hospitals during a 6-week period; the researchers report that the mean answers of call lights was 4,381.7 in the 15 experimental units in which the nursing round times were varied (total number of call lights answered was 65,726) and the mean for call light answers in the 12 control units was 3,596.3 (total number of call lights answered was 43,156).
8.
Directness of Measurement
The researchers ensured that adequate recordation procedures were in place at the participating hospitals for nursing staff to log the reasons for call light use by patients, although these procedures sometimes varied from unit to unit, with some hospitals using a manual approach while others enjoyed the use of an automated system.
9.
Measurement Error
The researchers acknowledge that they did not have access to the raw statistical...
Call light use measurements were also divided into 2-week time increments in order to compare the 1- or 2-hour interventions with the baseline data collected. Consequently, the study duration was 6 weeks at each of the participating hospitals which were allowed to begin the data collection during an approximately 2-1/2-month period with all data being collected by June 1, 2005.
11.
Reliability and Validity
The researchers excluded data collected from 8 of the participating hospitals from the data analysis, accounting for 19 nursing units, based on inadequate reliability and validity of data collection. Hospitals and units were excluded if rounding logs revealed that more than 5% of data elements were missing, suggesting that nursing staff members hadn't consistently performed the rounding and, therefore, had produced unreliable data.
12.
Statistical Tests - Quantitative Research
Using STATS data analysis software, the researchers tested their hypothesis concerning patient satisfaction by conducting t test comparisons of the means for patient satisfaction scores using data from the 1-hour and 2-hour nursing round units. To test their hypothesis concerning patient safety as measured by the incidence of patient falls, the researchers compared the 4 weeks before
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Patient Satisfaction in Quality of Managed Care Aspect to be compared Gender and Patient Satisfaction in Managed Care, etc. Stakeholder Perceptions of Quality in Managed Care Plans Two Steps to Enhance Managed Care Quality Author(s)/Date Emily Weisman, MS Martha Romans Jacobs Institute of Women's Health Washington, DC Carolyn M. Clancy, MD Paul L. Grimaldi, Ph.D. To determine what the differences are and what variables might affect women patients' perceptions of the quality of managed care To find out what attributes three different health care
You have been appointed to chair a hospital-wide committee to develop and implement a plan to improve patient satisfaction in your facility. Your Chief Nursing Officer has provided you a summary report indicating a steady decline in patient satisfaction over the previous six months. You will need to identify the various resources available for tracking patient satisfaction, establish a clear bench mark and design a specific plan of action for
Hourly nurse rounds help to reduce falls, pressure ulcers, call light use and contribute to rise in patient satisfaction base on evidence base practice The healthcare center is faced with numerous challenges affecting clinical results and client satisfaction (e.g., ulcers, use of call light and falls). The above challenges have brought on the need to develop and institute an appropriate framework to improve patient care delivery by means of better and
Patient Falls and Nursing PICO Question -- Among acute care patients on a Medical-Surgical Unit, does hourly rounding, as opposed to only setting the bed alarm, significantly reduce patient falls (at least by 50%)? Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant, and requires the understanding and application of a large toolbox to deal with many different situations within the
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